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Kai, a 19-year-old with no previous medical history, was involved in a serious automobile accident in which their best friend died. Examination by EMT personnel first on the scene revealed they had only minor scrapes and bruises and no sign of head trauma. While en route by ambulance to the hospital, Kai complained of thirst and appeared restless. Further examination indicated a rapid pulse and respirations, with their blood pressure now at 100/60 mm Hg. They appeared less responsive to the paramedics. They were slipping into circulatory shock as they checked them again for internal injuries.
Discussion Questions
Discuss the contributing factors to shock in this case and the pathophysiologic changes causing the changes in vital signs.
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